Healthcare Provider Details

I. General information

NPI: 1851349476
Provider Name (Legal Business Name): NEW HORIZONS OBSTETRICS AND GYNECOLOGY PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3890 TAMPA ROAD SUITE 304
PALM HARBOR FL
34684
US

IV. Provider business mailing address

3890 TAMPA ROAD SUITE 304
PALM HARBOR FL
34684
US

V. Phone/Fax

Practice location:
  • Phone: 727-789-9006
  • Fax: 727-789-9122
Mailing address:
  • Phone: 727-789-9006
  • Fax: 727-789-9122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name: DR. LISA L VENDELAND
Title or Position: OWNER PRESIDENT
Credential: DO
Phone: 727-789-9006